慢性鼻―鼻窦炎主客观评价相关性分析.docVIP

慢性鼻―鼻窦炎主客观评价相关性分析 　　[摘要] 目的 探讨慢性鼻-鼻窦炎患者的主客观评分之间的相关性。 方法 对126例慢性鼻-鼻窦炎的患者进行主观评分（视觉模拟评估量表VAS，鼻腔-鼻窦结果测试SNOT-20）及客观检查评分（Lund-Mackay鼻窦CT影像与Lund-Kennedy内镜评分），采用Origin 8.0统计学软件包进行Pearson相关分析。 结果 主观评价VAS总分与SNOT-20总分之间呈显著相关（R2=0.482，P0.05）；VAS、SNOT-20与Lund-Mackay CT评分也无显著相关（P0.05）。VAS评价中鼻塞、面部胀痛、嗅觉障碍、头痛单项症状评分与鼻内镜LK评分、Lund-Mackay CT评分间呈显著相关（P0.01）。 结论 慢性鼻-鼻窦炎患者的主观评价与客观评价之间存在部分分离。故而，慢性鼻-鼻窦炎患者的评价需要结合主观症状和客观检查。 　　[关键词] 慢性鼻-鼻窦炎；视觉模拟评估量；鼻腔-鼻窦结果测试；Lund-Mackay鼻窦CT影像；Lund-Kennedy内镜评分 　　[中图分类号] R765.4 [文献标识码] B [文章编号] 1673-9701（2016）20-0054-04 　　[Abstract] Objective To explore the correlation between subjective and objective scoring in chronic rhino sinusitis. Methods Prospective data of 126 patients with CRS were collected and analyzed retrospectively. Subjective rhino sinusitis examinations include visual analog scale and the Sino nasal Outcomes Test-20. Objective sinus examinations include Lund-Kennedy nasal endoscopy score and Lund-Mackay computed tomography （CT） score. Pearson correlation analysis was performed by Origin 8.0 statistical package. Results There was significant correlation between VAS score and SNOT-20 score（R2=0.482， P0.05）. VAS score and SNOT-20 scores had no correlation with Lund-Mackay CT score（P0.05）. There were significant correlation between Lund-Kennedy nasal endoscopy score and individual scores of VAS nasal obstruction， facial pain， dysosmia dysfunction and headache（P0.01）. Conclusion The subjective and objective score of chronic rhino sinusitis are contradictive sometimes. Therefore， the evaluation of CRS requires a combination of subjective symptoms and objective examination. 　　[Key words] Chronic rhino sinusitis； Visual analog scale； The Sino nasal Outcomes Test-20； Lund-Mackay computed tomography； Lund-Kennedy nasal endoscopy score 　　慢性鼻-鼻窦炎（chronic rhino sinusitis，CRS）是耳鼻咽喉科的常见病、多发病。由于CRS的患病率较高，且可严重影响患者的生存质量，故而CRS患者的心理健康及生活质量问题越来越受到研究者的关注。以往研究显示，心理疾病常共存于慢性疾病人群中，不仅会加重患者自觉症状，延长治疗时间，同时慢性疾病引起的躯体症状与心理疾病相互影响，可能导致疾病进一步恶化。本研究运用国外成熟的主观症状和客观检查的评价量表：主观症状评价包